Unit 2 Review

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500

List 5 important considerations for TPN

1. Monitor for fevers

2. Sterile technique

3. Change tubing every 24 hours

4. Do not mix medications/fluids in line

5. Monitor central line for infection

6. Monitor electrolytes

7. Monitor blood glucose

8. Never abruptly stop TPN

9. No significant rate changes on pump 

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400

List 4 examples of food that should be avoided in a client with GERD 

Caffeine

Peppermint

tomatoes

citrus fruits

fried foods

fatty foods 

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100

For suspected hepatitis, which diagnostic will help confirm the diagnosis?

A. Elevated serum albumin level

B. Elevated serum bilirubin

C. Decreased serum bilirubin 

D. Elevated hematocrit level 

B. Elevated serum bilirubin

200

For a client with cirrhosis, what is an appropriate intervention?

A. Position flat in bed

B. Medicate with acetaminophen for comfort 

C. Measure abdominal girth every 8 hour 

D. Weight the client Monday-Friday

C. Measure abdominal girth every 8 hour

300

Which labs can the nurse anticipate in a client with cholecystitis?

A. elevated amylase & lipase

B. Elevated AST & ALT

C. Elevated hemoglobin and hematocrit

D. Elevated albumin

B. Elevated AST & ALT

SATA

100

The nurse is admitting a client with hypoglycemia. Which signs and symptoms should the nurse expect?SATA

A. Thirst

B. Palpitations

C. Diaphoresis 

D. Slurred speech

E. Hyperventilation

Palpitations

Diaphoresis

Slurred speech

200

For a client with diabetic ketoacidosis, which of the following symptoms would you anticipate? 

A. Fruity odor breath

B. Deep, rapid, labored respirations 

C. Increased urination

D. Increased thirst

E. Fatigue

F. Blood glucose of 180mg/dL

G. Dehydration

H. Respiration of 9

I. Metabolic alkalosis 

J. Abdominal pain

Fruity odor breath 

Deep, rapid, labored respirations

Increased urination 

Increased thirst

Fatigue

Dehydration

Abdominal pain

300

Gregory is a 52-year-oldman identified as high risk for diabetes mellitus. Which laboratory test should a nurse anticipate a physician would order for him? SATA 

A. Fasting Plasma Glucose (FPG)

B. 2 hour Oral Glucose tolerance test 

C. Glycosylated hemoglobin (HbA1C)

D. Fingerstick glucose 3x daily

E. Urinalysis & urine culture

A. Fasting Plasma Glucose (FPG)

B. 2 hour Oral Glucose tolerance test 

C. Glycosylated hemoglobin (HbA1C)

400

For the client experiencing DKA, the nurse can anticipate which prescriptions? 

A. Human NPH Insulin

B. Human regular Insulin

C. 0.9% sodium chloride rapid infusion 

D. Dextrose 10% and 0.9% sodium chloride rapid infusion

E. Potassium replacement 

B. Human regular Insulin

C. 0.9% sodium chloride rapid infusion 

E. Potassium replacement

500

Which of the following should the nurse include in the teaching for a client with diabetes regarding exercise? 

A. Only exercise when BG is 80-250mg/dL 

B. Consume a protein/fat rich snack 1 hour prior to exercise

C. Increase exercise intensity if ketones are present in urine 

D. Check glucose more often 24 hour after intensive exercise

E. Decrease dose of scheduled nightly lantus

A. Only exercise when BG is 80-250mg/dL

D. Check glucose more often 24 hour after intensive exercise